Lisa J Samson-fang
MD | Developmental - Behavioral Pediatrics | Female
Lisa J Samson-fang, MD is a Salt Lake City, Utah based Pediatric doctor with medical specialization in
Developmental - Behavioral Pediatrics.
Current practice location of Lisa J Samson-fang is
50 N Medical Dr, Salt Lake City, Utah - 84132-0001. She can be contacted on phone at
801-581-3501.
Lisa J Samson-fang is a sole proprietor of her business.
NPI number (Unique professional ID) for Lisa J Samson-fang is
1821188442 which was assigned by NPPES on 13 Oct, 2006 and it was last updated on 08 Jul, 2007.
Lisa J Samson-fang license number is
360059-1205 for Pediatrics Developmental - Behavioral Pediatrics (2080P0006X) in Utah.
Lisa J Samson-fang is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.
Complete Profile:
Lisa J Samson-fang basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Developmental - Behavioral Pediatrics |
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| Provider Name : | Lisa J Samson-fang |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Lisa J Samson-fang address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 50 N Medical Dr
Salt Lake City, UT, 84132-0001
United States |
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| Phone Number : | 801-581-3501 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1821188442 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 13 Oct, 2006 |
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| Last Updated On : | 08 Jul, 2007 |
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Medicare Participation:
Lisa J Samson-fang participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 2769434034 |
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| Medicare Enrollment ID : | I20050215000403 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | Johns Hopkins University School Of Medicine |
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| Graduation Year : | 1989 |
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| Accepts Medicare? | Yes. Lisa J Samson-fang accepts medicare insurance. |
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Group Practice Association:
Lisa J Samson-fang is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Lisa J Samson-fang is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| Intermountain Healthcare Services, Inc | 1850209420 | 2610 | 700 S Hwy 99
Suite 3
Fillmore, UT - 846315137
Ph: 4357435555 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lisa J Samson-fang are as mentioned. Primary taxonomy code for Lisa J Samson-fang, MD is
2080P0006X (Pediatrics Developmental - Behavioral Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080P0006X | Pediatrics Developmental - Behavioral Pediatrics | Yes | 360059-1205 | UT |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 581100
Salt Lake City, UT, 84158-1100
United States |
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| Phone Number : | 801-213-3800 |
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Business Location:
Patients can refer following map for directions to
Lisa J Samson-fang practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.